Department of Internal Medicine, Dankook University College of Medicine, Cheonan, South Korea.

Abstract

Hepatocellular carcinoma (HCC) is the most common type of liver cancer and its treatment options are determined by shape, liver function, loci, and stages of cancer. Diffuse type of infiltrative HCC accompanied by portal vein tumor thrombosis (PVTT) has the poorest prognosis among other HCCs and there are no other prominent treatment options than systemic chemotherapy. In this study, we report a case of a 56-year-old man with diffuse infiltrative HCC accompanied by PVTT who achieved complete remission for 8 years after receiving conventional transcatheter arterial chemoembolization using adriamycin and gelfoam.

Dynamic liver computed tomography. a Low-density lesions without definite margin of massive infiltrating HCC involving segments 4 and 8 (11.3 × 9.0 × 7.8 cm) on the portal phase. Other small similarly patterned lesions were found on segments 7 and 8. b Total occlusion of the right portal vein by malignant tumor thrombosis (black arrows) was found on the coronary section.